Teenager Rejecting Hearing Aids
Jake failed newborn hearing screening and was referred for a diagnostic audiological evaluation. Both auditory brainstem response (ABR) and behavioral observation audiometry (BOA) testing utilizing sucking responses were performed, and Jake was identified with a mild, rising to slight hearing loss, by both ABR and BOA (▶ Table 1). He accepted the hearing aids without difficulty. The family enrolled in an auditory-verbal therapy program, and Jake did well. He received a frequency modulation (FM) system when he began preschool and he did well through elementary school. In middle school, Jake refused the use of the FM system, and his grades started to fall. His parents continued to bring Jake for audiologic evaluations where he was tested with and without hearing aids. Jake’s hearing loss was stable, and he continued to perform well with his hearing aids. Neither Jake nor his parents were completely forthcoming about the fact that Jake was not using hearing aids most of the time.